Term
| amyotrophic lateral sclerosis ALS |
|
Definition
Upper/lower motor neurons
cranial nerves affected as well
S/S muscle weakness,respiration weakness,first in hands, dysarthria, dysphagia, atrophy,cramping,fasiculations, spasticity hyperreflexia, sensation unaffected
Tx=positioning/skin care, respiration, energy conservation PROM, reassurance |
|
|
Term
|
Definition
inflammation of CN VII facial nerve
ipsilateral paralysis of expression muscles
drooling decreased tasteon anterior 2/3
Tx= artificial tears for cornea
E stim
functional retraing chew opp side |
|
|
Term
|
Definition
polyneuropathey viral
progressive muscular weakness develops quickly
S/S LMN weakness,tingling/burning,glove sensory loss, progrsses LE to UE distal to proximal
respiraotory failure,tachycardia/BP canges, 1 year recovery
Tx= respiraoty,PROM,postioning,skin care
when improving teach energy conservtion and conditioning muscle re-ed |
|
|
Term
|
Definition
demylenationg remits and exacerbates
S/S tingling numbness pain spasticity coordination fatigue diploplia B/B problems commincation problems euphoria or depression adverse reactions to heat.
Tx= improve function, prevent skin breakdown, breathing ex, PNF tolerance
ambulation and mobility decrease toneenergy conservationtreat in the morning |
|
|
Term
|
Definition
S/S myalgia joint pain asymmetrical muscle atrophy fatigue and endurance loss
Tx- low intensity ex never to fatigue stop ex if pain
orthotics |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
most common
UMN increased deep tendon reflexes,tone, mass synergy patterns weakness contractures
scissor gait toe walking
visual auditory cognitive or oral motor deficits |
|
|
Term
|
Definition
basil ganglia
slow writhing involuntary movments ,decreased tone, poor stability decreased speech oral motor and visual tracking
tonic reflexes persist ATNR, STNR, labyrinthine |
|
|
Term
|
Definition
uncommon
cerebellar involvment
weakness poor coordinationintention tremor WB stance difficulty with rapid movements |
|
|
Term
|
Definition
extra 21 chromosome
hypotonic infant congenital heart defectsm visual and auditory deficits, laxiity, cognition deificits
Tx-protect joints and neck with stability strengthening and avoid end of range hyperextension. energy conservation |
|
|
Term
| duchennes muscular dystrophy |
|
Definition
progressive muscular degeneration in males
gait disturbance
gowers sign walking up own legs
psuedohypertrophy of calves
contractures
scoliosis
postioning devices
encourage activity
do not strength train |
|
|
Term
|
Definition
most severe spina bifida
hydrocephalus may present
weak, hip and ADD tightness
club foot or talipes equinovarus severe inversion
B/B problems
low tone head control developmental delays
Tx- positioning orthotics, standers, parapodia, RGO level of lesion varies Tx |
|
|
Term
| Charcot marie tooth disease |
|
Definition
peroneal muscular atrophy
perneal and distal leg muscles affected
foot drop
"stork leg deformity"-boney legs high arches
orthotics |
|
|
Term
| legg calve perthes disease |
|
Definition
asceptic necrosis of femoral capital epiphysis
casting,traction,hip orthisis |
|
|
